How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $10.00 Median $32.36 Typical High $38.90 | Facility | None | $10.00 | $32.36 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $11.75 Typical High $20.89 | Professional | None | $10.00 | $11.75 | $20.89 |
Ambetter Setting Professional Modifier None Typical Low $11.48 Median $15.14 Typical High $18.20 | Professional | None | $11.48 | $15.14 | $18.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.22 Median $13.18 Typical High $18.20 | Professional | None | $11.22 | $13.18 | $18.20 |
Aultcare Setting Professional Modifier None Typical Low $16.60 Median $19.50 Typical High $30.20 | Professional | None | $16.60 | $19.50 | $30.20 |
CareSource Setting Professional Modifier None Typical Low $13.80 Median $15.14 Typical High $21.88 | Professional | None | $13.80 | $15.14 | $21.88 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $23.99 | Professional | None | $13.80 | $13.80 | $23.99 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $13.80 Median $26.92 Typical High $46.77 | Professional | None | $13.80 | $26.92 | $46.77 |
Molina Setting Professional Modifier None Typical Low $9.77 Median $11.48 Typical High $13.18 | Professional | None | $9.77 | $11.48 | $13.18 |
SummaCare Setting Professional Modifier None Typical Low $11.48 Median $15.85 Typical High $18.20 | Professional | None | $11.48 | $15.85 | $18.20 |
United Setting Professional Modifier None Typical Low $11.22 Median $13.80 Typical High $20.42 | Professional | None | $11.22 | $13.80 | $20.42 |
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier SA · Nurse practitioner Typical Low $12.88 Median $12.88 Typical High $18.20 | Professional | SA · Nurse practitioner | $12.88 | $12.88 | $18.20 |
Where Ohio sits
The same service costs 2.9 times more in Alaska than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Ohio· 39th of 51
$13.80
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.